A careful review reveals that karen is taking her

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A careful review reveals that Karen is taking her medication just as prescribed. She is not on any other prescribed, over-the-counter, or herbal medications. The PMHNP considers that: A. These are common in the first weeks of therapy and the dose should be increased to a therapeutic regimen B. Karen may be a poor metabolizer of CYP2D6 medications and will need a change of therapy C. Behavioral modalities should be started as optimal management of ADHD is multimodal D. Fluoxetine should be added to the regimen as it has demonstrated efficacy with coincident anxiety
Question.20 Carolyn is a 14-year-old female who is in care because she has developed increasingly difficult behavior at home and school. She is inappropriately dressed for the interview, wearing heavy makeup and conducting herself in a suggestive manner. Her medical history is significant only for childhood asthma and four urinary tract infections in the last year. Carolyn’s mother reveals that Carolyn’s stepfather has a history of sexually abusing his biological daughter, and the mother is beginning to wonder if something isn’t “going on” in her own home. Carolyn vigorously denies this, and indicates that her stepfather is very good to her, takes care of her, and is her “best friend.” The PMHNP
recognizes that Carolyn may be in which phase of intrafamilial sexual abuse?
Question.21 Phillip is a 5-year-old boy who is in care after being referred for failure to speak at school. He has been in kindergarten for 5 months, and initially his teacher thought he was just shy, so she did not focus on him. However, it has become increasingly apparent that he flat out will not speak at school. Phillip’s parents are adamant that there is not any problem at home and that Phillip talks with them and his older sister routinely. Further assessment reveals that he has always been extremely shy and that he doesn’t like it when people make a fuss over him. The PMHNP suspects that Phillip has selective mutism, which is closely related to:
Question.22
With respect to psychiatric assessment, the PMNHP knows that in terms of confidentiality:
Question.23 The PMHNP is performing a series of court-ordered home visits to evaluate concerns about a 4-month-old infant who presented for a well checkup with clear failure to thrive. While observing the mother’s interaction with the infant, the PMHNP notes a negative pattern of interaction. This is characterized by: A. The child refusing to feed and the mother feeling rejected and withdrawing B.

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